![]() The aim of this work was to perform a systematic review for the identification and description of empirical studies on PB in patients with CKD. Pica behaviors (PB) are defined as the persistent intake of non-food substances, this behavior that has been identified in patients with Chronic Kidney Disease (CKD), mainly associated with metabolic alterations derived from the disease. A multidisciplinary approach is recommended for the treatment of EDs during pregnancy, emphasizing adequate intake of nutrients and BW gain. Other EDs present in pregnancy include orthorexia nervosa (ON) and pica. On the other hand, women with binge eating syndrome tend to deliver heavier and larger babies. Bulimia nervosa (BN) has been associated with low-birth-weight infants, fetal abnormalities, prematurity, and complications at delivery. Although bulimic behaviors ameliorate during pregnancy, they resurface postpartum. The birth weight of the infants is positively associated with maternal pregravid bodyweight (BW). Furthermore, maternal (impairments in fluid and electrolyte metabolism, miscarriages, cesarean deliveries) and fetal (wheezing in the offspring, prematurity, small head circumference) complications are apparent. EDs, especially anorexia nervosa (AN), might interfere with fertility due to weight loss. However, this is not the case for women suffering from eating disorders (ED), who experience comorbidities such as depression, anxiety, binge eating, and increased concerns about weight gain. Our findings challenge the cause–effect relation between micronutrient deficiency and pica and prompts further research in the non-adaptive theories of this poorly understood clinical entity.ĭuring pregnancy, women might improve their diet and adopt a healthier eating behavior. Based on temporal relationship, we propose that there might be an association between copper supplementation and pica, not related to its plasma levels.Īs far as we know, this is the first case report in the literature with such a long-term follow-up of pica treatment. One week after, pica behaviours reoccurred, with further remission with renewed copper treatment. After 2-year remission, the patient was discontinued on oral copper. These behaviours ceased with copper supplementation. A review was conducted using PubMed database.Ī 59-year-old patient, diagnosed with paranoid schizophrenia, presented with sideroblastic anaemia secondary to zinc-induced copper deficiency in the context of pica. The authors present a case report of pica treated with copper supplementation, with further diagnostic and treatment considerations.Ĭlinical records and interviews were used. Its aetiology is still unknown, as its prevalence and optimal treatment, which seem to vary with patients’ characteristics and the specific behaviours involved. Pica is defined as a feeding and eating disorder where there is consumption of nonnutritive substances not consistent with cultural practices or social norms. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |